Analgesic Efficacy and Management of Opioid-induced Constipation (OIC) for Uncontrolled Moderate - Severe Low Back Pain

November 6, 2014 updated by: Purdue Pharma LP

A Randomized, Double-blind, Double-dummy, Placebo-controlled, Active-controlled, Parallel-group, Multicenter Trial of Oxycodone/Naloxone Controlled-release Tablets (OXN) to Assess the Analgesic Efficacy (Compared to Placebo) and the Management of Opioid-induced Constipation (Compared to Oxycodone Controlled-release Tablets (OXY)) in Opioid-experienced Subjects With Uncontrolled Moderate to Severe Chronic Low Back Pain and a History of Opioid-induced Constipation Who Require Around-the-clock Opioid Therapy

The primary objective is to assess the efficacy of oxycodone/naloxone (OXN) for the management of opioid-induced constipation (OIC) compared to oxycodone controlled-release tablets (OXY) in subjects with moderate to severe low back pain and OIC who require around-the-clock opioid therapy.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

455

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Czech Republic
      • Brno, Czech Republic, 656 91
        • Investigational Site
      • Hradec Kralove, Czech Republic, 500 03
        • Investigational Site
      • Most, Czech Republic, 434 64
        • Investigational Site
      • Olomouc, Czech Republic, 775 20
        • Investigational Site
      • Praha 10, Czech Republic, 100 00
        • Investigational Site
      • Praha 4 - Krc, Czech Republic, 140 59
        • Investigational Site
      • Praha 6, Czech Republic, 160 00
        • Investigational Site
      • Rychnov nad Kneznou, Czech Republic, 516 01
        • Investigational Site
      • Sternberk, Czech Republic, 785 01
        • Investigational Site
      • Vysoke Myto, Czech Republic, 566 23
        • Investigational Site
      • Zlin, Czech Republic, 760 01
        • Investigational Site
      • Znojmo, Czech Republic, 669 02
        • Investigational Site
  • Italy
      • Catania, Italy, 95123
        • Investigational Site
  • Poland
      • Bielsko-Biala, Poland, 43-300
        • Investigational Site
      • Bydgoszcz, Poland, 85-079
        • Investigational Site
      • Bydgoszcz, Poland, 85-796
        • Investigational Site
      • Gdansk, Poland, 80-286
        • Investigational Site
      • Gdansk, Poland, 80-546
        • Investigational Site
      • Gdynia, Poland, 81-366
        • Investigational Site
      • Katowice, Poland, 40-084
        • Investigational Site
      • Katowice, Poland, 40-683
        • Investigational Site
      • Lublin, Poland, 20-718
        • Investigational Site
      • Lublin, Poland, 20-582
        • Investigational Site
      • Torun, Poland, 87-100
        • Investigational Site
  • United States
    • Alabama
      • Alabaster, Alabama, United States, 35007
        • Investigational Site
      • Birmingham, Alabama, United States, 35242
        • Investigational Site
      • Gulf Shores, Alabama, United States, 36542
        • Investigational Site
      • Homewood, Alabama, United States, 35209
        • Investigational Site
      • Huntsville, Alabama, United States, 35801
        • Investigational Site
      • Mobile, Alabama, United States, 36608
        • Investigational Site
    • Arizona
      • Goodyear, Arizona, United States, 85395-2511
        • Investigational Site
      • Goodyear, Arizona, United States, 85395
        • Investigational Site
      • Phoenix, Arizona, United States, 85018
        • Investigational Site
      • Phoenix, Arizona, United States, 85027
        • Investigational Site
      • Tempe, Arizona, United States, 85282
        • Investigational Site
      • Tucson, Arizona, United States, 85704
        • Investigational Site
    • Arkansas
      • Hot Springs, Arkansas, United States, 71901
        • Investigational Site
      • Little Rock, Arkansas, United States, 72211
        • Investigational Site
    • California
      • Anaheim, California, United States, 92801
        • Investigational Site
      • Anaheim, California, United States, 92804
        • Investigational Site
      • Anaheim, California, United States, 92805
        • Investigational Site
      • Chino, California, United States, 91710
        • Investigational Site
      • Fresno, California, United States, 93720
        • Investigational Site
      • Fresno, California, United States, 93726
        • Investigational Site
      • Glendale, California, United States, 91206
        • Investigational Site
      • La Mesa, California, United States, 91942
        • Investigational Site
      • Laguna Hills, California, United States, 92637
        • Investigational Site
      • Long Beach, California, United States, 90806
        • Investigational Site
      • Los Angeles, California, United States, 90017
        • Investigational Site
      • Los Angeles, California, United States, 90025
        • Investigational Site
      • Los Angeles, California, United States, 90036
        • Investigational Site
      • Los Gatos, California, United States, 95032
        • Investigational Site
      • National City, California, United States, 91950
        • Investigational Site
      • North Hollywood, California, United States, 91606
        • Investigational Site
      • Oceanside, California, United States, 92056
        • Investigational Site
      • Paramount, California, United States, 90723
        • Investigational Site
      • Richmond, California, United States, 94806
        • Investigational Site
      • Roseville, California, United States, 95661
        • Investigational Site
      • Sacramento, California, United States, 95823
        • Investigational Site
      • Sacramento, California, United States, 95842
        • Investigational Site
      • San Diego, California, United States, 92114
        • Investigational Site
      • Santa Ana, California, United States, 92701
        • Investigational Site
      • Santa Clarita, California, United States, 91350
        • Investigational Site
      • Valley Village, California, United States, 91607
        • Investigational Site
    • Colorado
      • Golden, Colorado, United States, 80401
        • Investigational Site
    • Connecticut
      • New Haven, Connecticut, United States, 06511
        • Investigational Site
      • Waterbury, Connecticut, United States, 06708
        • Investigational Site
    • Florida
      • Aventura, Florida, United States, 33180
        • Investigational Site
      • Boynton Beach, Florida, United States, 33472
        • Investigational Site
      • Bradenton, Florida, United States, 34209
        • Investigational Site
      • Clearwater, Florida, United States, 33765
        • Investigational Site
      • Clermont, Florida, United States, 34711
        • Investigational Site
      • Coral Gables, Florida, United States, 33134
        • Investigational Site
      • Daytona Beach, Florida, United States, 32117
        • Investigational Site
      • Ft. Lauderdale, Florida, United States, 33316
        • Investigational Site
      • Hialeah, Florida, United States, 33012
        • Investigational Site
      • Hialeah, Florida, United States, 33013
        • Investigational Site
      • Inverness, Florida, United States, 34452
        • Investigational Site
      • Jacksonville, Florida, United States, 32216
        • Investigational Site
      • Jacksonville, Florida, United States, 32257
        • Investigational Site
      • Jupiter, Florida, United States, 33458
        • Investigational Site
      • Miami, Florida, United States, 33143
        • Investigational Site
      • Miami, Florida, United States, 33125
        • Investigational Site
      • Miami, Florida, United States, 33126
        • Investigational Site
      • Miami, Florida, United States, 33135
        • Investigational Site
      • Miami, Florida, United States, 33185
        • Investigational Site
      • Miami Lakes, Florida, United States, 33014
        • Investigational Site
      • Naples, Florida, United States, 34110
        • Investigational Site
      • Naples, Florida, United States, 34113
        • Investigational Site
      • New Port Richey, Florida, United States, 34652
        • Investigational Site
      • North Miami Beach, Florida, United States, 33162
        • Investigational Site
      • Orlando, Florida, United States, 32806
        • Investigational Site
      • Oviedo, Florida, United States, 32765
        • Investigational Site
      • Pinellas Park, Florida, United States, 33781
        • Investigational Site
      • Pinellas Park, Florida, United States, 33782
        • Investigational Site
      • Plantation, Florida, United States, 33317
        • Investigational Site
      • Port Orange, Florida, United States, 32129
        • Investigational Site
      • Sanford, Florida, United States, 32771
        • Investigational Site
      • South Miami, Florida, United States, 33143
        • Investigational Site
      • Tamarac, Florida, United States, 33321
        • Investigational Site
      • Tampa, Florida, United States, 33607
        • Investigational Site
      • Tampa, Florida, United States, 33613
        • Investigational Site
      • Wellington, Florida, United States, 33414
        • Investigational Site
    • Georgia
      • Austell, Georgia, United States, 30106
        • Investigational Site
      • Blue Ridge, Georgia, United States, 30513
        • Investigational Site
      • Canton, Georgia, United States, 30114
        • Investigational Site
      • Columbus, Georgia, United States, 31904
        • Investigational Site
      • Johns Creek, Georgia, United States, 30097
        • Investigational Site
      • Marietta, Georgia, United States, 30060
        • Investigational Site
      • Perry, Georgia, United States, 31069
        • Investigational Site
      • Savannah, Georgia, United States, 31405
        • Investigational Site
    • Idaho
      • Boise, Idaho, United States, 83702
        • Investigational Site
      • Meridian, Idaho, United States, 83642
        • Investigational Site
    • Illinois
      • Bloomington, Illinois, United States, 61701
        • Investigational Site
      • Chicago, Illinois, United States, 60657
        • Investigational Site
    • Indiana
      • Evansville, Indiana, United States, 47714
        • Investigational Site
    • Kansas
      • Kansas City, Kansas, United States, 66160
        • Investigational Site
      • Wichita, Kansas, United States, 67203
        • Investigational Site
    • Kentucky
      • Lexington, Kentucky, United States, 40504
        • Investigational Site
      • Madisonville, Kentucky, United States, 42431
        • Investigational Site
    • Louisiana
      • Baton Rouge, Louisiana, United States, 70809
        • Investigational Site
      • Covington, Louisiana, United States, 70435
        • Investigational Site
      • Marrero, Louisiana, United States, 70072
        • Investigational Site
      • Metairie, Louisiana, United States, 70006
        • Investigational Site
    • Maryland
      • Hollywood, Maryland, United States, 20636
        • Investigational Site
    • Massachusetts
      • Fall River, Massachusetts, United States, 02720
        • Investigational Site
      • North Attleboro, Massachusetts, United States, 02760
        • Investigational Site
    • Michigan
      • Bay City, Michigan, United States, 48706
        • Investigational Site
      • Pinconning, Michigan, United States, 48650
        • Investigational Site
      • Rochester, Michigan, United States, 48307
        • Investigational Site
      • Troy, Michigan, United States, 48085
        • Investigational Site
    • Missouri
      • Hazelwood, Missouri, United States, 63042
        • Investigational Site
      • St. Louis, Missouri, United States, 63141
        • Investigational Site
      • St. Louis, Missouri, United States, 63128
        • Investigational Site
    • Nevada
      • Las Vegas, Nevada, United States, 89119
        • Investigational Site
    • New Jersey
      • Stratford, New Jersey, United States, 08084
        • Investigational Site
      • Toms River, New Jersey, United States, 08755
        • Investigational Site
      • Voorhees, New Jersey, United States, 08034
        • Investigational Site
    • New Mexico
      • Albuquerque, New Mexico, United States, 87106
        • Investigational Site
    • New York
      • Cedarhurst, New York, United States, 11516
        • Investigational Site
      • Great Neck, New York, United States, 11023
        • Investigational Site
      • New Windsor, New York, United States, 12553
        • Investigational Site
      • New York, New York, United States, 10022
        • Investigational Site
      • North Massapequa, New York, United States, 11758
        • Investigational Site
      • Williamsville, New York, United States, 14221
        • Investigational Site
    • North Carolina
      • Elkin, North Carolina, United States, 28621
        • Investigational Site
      • Winston-Salem, North Carolina, United States, 27103
        • Investigational Site
    • Ohio
      • Beavercreek, Ohio, United States, 45432
        • Investigational Site
      • Cincinnati, Ohio, United States, 45242
        • Investigational Site
      • Cleveland, Ohio, United States, 44122
        • Investigational Site
      • Columbus, Ohio, United States, 43210
        • Investigational Site
      • Columbus, Ohio, United States, 43214
        • Investigational Site
      • Franklin, Ohio, United States, 45005
        • Investigational Site
      • Groveport, Ohio, United States, 43125
        • Investigational Site
      • Toledo, Ohio, United States, 43623
        • Investigational Site
    • Oklahoma
      • Oklahoma City, Oklahoma, United States, 73119
        • Investigational Site
    • Pennsylvania
      • Altoona, Pennsylvania, United States, 16602
        • Investigational Site
      • Jenkintown, Pennsylvania, United States, 19046
        • Investigational Site
      • Johnstown, Pennsylvania, United States, 15904
        • Investigational Site
      • Philadelphia, Pennsylvania, United States, 19152
        • Investigational Site
      • Phoenixville, Pennsylvania, United States, 19460
        • Investigational Site
      • Tipton, Pennsylvania, United States, 16684
        • Investigational Site
    • Rhode Island
      • Warwick, Rhode Island, United States, 02886
        • Investigational Site
    • South Carolina
      • Myrtle Beach, South Carolina, United States, 29588
        • Investigational Site
      • Spartanburg, South Carolina, United States, 29303
        • Investigational Site
    • Tennessee
      • Franklin, Tennessee, United States, 37067
        • Investigational Site
      • New Tazewell, Tennessee, United States, 37825
        • Investigational Site
    • Texas
      • Arlington, Texas, United States, 76011
        • Investigational Site
      • Athens, Texas, United States, 75751
        • Investigational Site
      • Austin, Texas, United States, 78756
        • Investigational Site
      • Dallas, Texas, United States, 75231
        • Investigational Site
      • Dallas, Texas, United States, 75251
        • Investigational Site
      • Houston, Texas, United States, 77030
        • Investigational Site
      • Houston, Texas, United States, 77005
        • Investigational Site
      • Houston, Texas, United States, 77024
        • Investigational Site
      • Houston, Texas, United States, 77025
        • Investigational Site
      • Houston, Texas, United States, 77057
        • Investigational Site
      • Houston, Texas, United States, 77065
        • Investigational Site
      • Houston, Texas, United States, 77074
        • Investigational Site
      • Houston, Texas, United States, 77098
        • Investigational Site
      • Humble, Texas, United States, 77338
        • Investigational Site
      • North Richland Hills, Texas, United States, 76180
        • Investigational Site
      • Plano, Texas, United States, 75075
        • Investigational Site
      • San Antonio, Texas, United States, 78229
        • Investigational Site
      • San Antonio, Texas, United States, 78238
        • Investigational Site
      • Sugar Land, Texas, United States, 77478
        • Investigational Site
      • Tomball, Texas, United States, 77375
        • Investigational Site
    • Utah
      • Clinton, Utah, United States, 84015
        • Investigational Site
      • Salt Lake City, Utah, United States, 84102
        • Investigational Site
      • Salt Lake City, Utah, United States, 84107
        • Investigational Site
      • West Jordan, Utah, United States, 84088
        • Investigational Site
    • Virginia
      • Richmond, Virginia, United States, 23220
        • Investigational Site
      • Richmond, Virginia, United States, 23235
        • Investigational Site
      • Virginia Beach, Virginia, United States, 23454
        • Investigational Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria include:

  • Male and female subjects ≥ 18 years of age with moderate to severe, chronic low back pain (lasting at least several hours daily) as their predominant pain condition for at least 3 months prior to screening period;
  • The low back pain must be related to nonmalignant and nonneuropathic conditions and may be with or without radiation;
  • Subjects must have a self-reported history of opioid induced constipation (OIC).

Exclusion Criteria include:

  • Subjects with rheumatoid arthritis or other inflammatory arthritis;
  • Subjects with neuropathic conditions that have been painful or required therapy within the past 3 months;
  • Subjects with evidence of significant structural abnormalities of the gastrointestinal (GI) tract or other significant conditions affecting GI motility;
  • Subjects with chronic constipation not related to opioid use;
  • Subjects who had surgical procedures directed towards the source of chronic low back pain within 6 months of the screening visit or planned during the study;
  • Subjects with a history of malignancy within the past 2 years, with the exception of basal cell carcinoma that has been successfully treated.

Other protocol specific inclusion/exclusion criteria may apply.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: OXN
Oxycodone/Naloxone controlled-release tablets (OXN)
Drug: Oxycodone/Naloxone controlled-release
Oxycodone/Naloxone controlled-release tablets (10/5 - 40/20 mg) taken orally every 12 hours
Active Comparator: OXY
Oxycodone HCl controlled-release tablets (OXY)
Drug: Oxycodone HCl controlled-release
Oxycodone HCl controlled-release tablets (10 - 40 mg) taken orally every 12 hours
Other Names:
  • OxyContin
Placebo Comparator: Placebo
Placebo tablets to match OXN or OXY
Drug: Placebo
Placebo tablets to match OXN or OXY taken orally every 12 hours

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall complete spontaneous bowel movement (CSBM) responder rates
Time Frame: Weeks 1 through 12
The overall Complete Spontaneous Bowel Movement (CSBM) responder rates over the 12 week double-blind period comparing OXN to OXY
Weeks 1 through 12

Secondary Outcome Measures

Outcome Measure
Time Frame
CSBM Responder at least 50% of the weeks in the double-blind period
Time Frame: Weeks 1 through 12
Weeks 1 through 12
Laxative-free Responder at least 50% of the weeks in the double-blind period
Time Frame: Weeks 1 through 12
Weeks 1 through 12

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Purdue Pharma LP

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2011

Primary Completion (Actual)

October 1, 2014

Study Completion (Actual)

October 1, 2014

Study Registration Dates

First Submitted

August 30, 2011

First Submitted That Met QC Criteria

August 31, 2011

First Posted (Estimate)

September 1, 2011

Study Record Updates

Last Update Posted (Estimate)

November 7, 2014

Last Update Submitted That Met QC Criteria

November 6, 2014

Last Verified

November 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ONU3704
  • 2011-005060-26 (EudraCT Number)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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